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In Brief:

BRYAN disc arthroplasty has been studied for safety and efficacy with over 10 year data and compared with ACDF. BRYAN disc have advantage over cervical fusion for preserving cervical motion. NDI scores improved and adjacent segment surgeries reduced with BRYAN disc compared to cervical fusion.

In Brief:

Both anterior and posterior approaches for cervical stenosis and myelopathy were associated with significant improvements in the majority of health-related outcomes. Anterior surgery was associated with a shorter hospital stay and more successful restoration of cervical lordosis than posterior surgery.

In Brief:

Previous studies reported that, compared with endplate, some inserted prosthesis was smaller in width and length. We retrospectively analyzed 102 patients who underwent CDA with Prestige-LP Disc, and found that insufficient coverage of endplate in width and depth may induce the formation of HO.

In Brief:

There has been growing interest in performing outpatient cervical total disc replacement. Using propensity score-matched analysis, there were no statistical differences in perioperative complications between outpatient and inpatient single-level cervical total disc replacement procedures. In particular, there were no significant differences in the rate of 30-day readmissions.

In Brief:

UPS is an aggressive malignant tumor rarely originating from the spine. Enrolled in this survival analysis were 44 patients which represents the largest series of UPS in the spine. We identified that age = 55 years, ECOG score four and non en bloc resection were independently associated with poor OS.

In Brief:

Using hospital discharge and microbiology data from 129 U.S. hospitals, the authors found that Staphylococcus aureus infections post elective posterior instrumented spinal fusion surgeries are associated with significantly higher hospitalization cost, length of stay, and 180-day risk of readmission compared with those with no such infection.

In Brief:

A 3-month observational study of 2,024 chronic low back pain or neck pain patients receiving chiropractic care in the United States was conducted. Chiropractic was associated with significant group-level improvement in health-related quality of life, especially in pain. A minority of those in the sample got significantly better over time.

In Brief:

The purpose of this study was to investigate cross-cultural adaptation, validity, and reliability of the Fremantle Back Awareness Questionnaire. A total of 104 patients with chronic low back pain were included in the study. The Turkish version of the Fremantle Back Awareness Questionnaire is valid and reliable.

In Brief:

Perioperative outcomes following single-level lumbar fusions at an orthopedic specialty hospital and tertiary referral center were compared. Surgeries at an orthopedic specialty hospital resulted in shorter operative time and length of stay, without increasing the risk of readmissions or reoperations.

In Brief:

There is a paucity of literature available that use data-driven methodology to stratify surgeons and hospitals by volume in the setting of laminectomy. We used stratum-specific likelihood ratio (SSLR) analysis of receiver operating characteristic (ROC) curves to establish evidence-based volume thresholds for surgeons and hospitals in the setting of laminectomy.

In Brief:

This study presents a scheme for PRO-based, risk-adjusted rankings of spine surgeons and sites that perform elective lumbar surgery, using the Quality and Outcomes Database (QOD). Assuming adequate coverage of risk adjustment, the choice of surgeon matters when considering PROs, however the choice of site appears to matter more.

In Brief:

Enhanced recovery after surgery (ERAS) is a set of guidelines focused on perioperative care promoting optimal recovery after surgery. These protocols have led to significant clinical and economic gains in various fields. Here, we describe the development of and early experience with an evidence-based ERAS pathway for lumbar decompression.

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